Chapter 36 Robin's Pharmacy's Flagship Product
Chapter 36 Robin's Pharmacy's Flagship Product
That afternoon.
Chen Wenbin examined Old Man Coke at the sanatorium and found that his physical condition was already very poor. He might not be able to withstand the stimulation of high doses of aspirin, so the formal treatment time was extended to a week later. During this period, painkillers were used to temporarily relieve the pain.
Westerners in this era simply do not have a proper concept of healthy eating. The poor are better off, as they don't have the means to indulge in excessive eating, but the rich often eat meat and fish without restraint, and alcoholism is also common. As a result, the incidence of gout is very high among the aristocracy and the wealthy.
Europeans even call gout "the king's disease" or "the nobleman's disease," and take pride in it.
But the pain of gout needles piercing the bone doesn't discriminate between kings and nobles.
In order to treat gout, European doctors believed, based on the ancient "four humors theory," that gout was caused by an imbalance of the four humors, so they decided to perform bloodletting... As a result, kings and nobles were held down and bled one by one, and many European nobles died from wound infections and physical weakness.
As for enema therapy, it probably comes from the humoral theory. Doctors believed that clearing the putrefied fluids from the intestines could restore the patient's health.
How to put it? It's very imaginative, but apart from increasing the patient's suffering, it's of no use at all.
Finally, European medicine does have herbalism, but many of its prescriptions are no different from alchemical potions, claiming to cure all diseases and restore youth and health... The effects are predictable; aside from the possibility of metal poisoning and alkaloid poisoning, they have virtually no therapeutic effect.
After learning about these terrifying aspects of traditional European medicine, Chen Wenbin would always make it clear to all his patients beforehand that he was neither an alchemist nor a witch doctor, and that he could not guarantee a cure. He would only do his best to save patients based on his experience and knowledge.
He had no desire to get involved with these murderous doctors and alchemists... even though the drugs he produced in his medical lab did resemble the legendary European alchemy of life.
……
Since he had arrived at the sanatorium, Chen Wenbin took the opportunity to check on the recovery of the other VIP patients. He then went to the Robin Science Academy Medical Laboratory next door... which was actually a closed research institute consisting of six buildings.
He walked through the gate guarded by armed guards and into the main laboratory building. In a room labeled "First Group Archives," he found Tom Thales, who was in charge of animal experiments.
Chen Wenbin plopped down on the office sofa. He waved to the young, brown-haired researcher who quickly stood up and asked, "...Tom, have the standard lethal dose of colchicine been tested?"
Chris told me that you and Edward have consumed over thirty rabbits, twelve dogs, and three pigs in the past two weeks... I need you to produce useful experimental data!
"...Sir, the numbers we measured are inaccurate!"
Tom Griffin, also wearing a white lab coat, looked at Boss Chen sitting behind his desk and said dejectedly, "The test data for rabbits, dogs, and pigs have significant errors. I'd like to request two more horses for testing..."
"...No need for such meticulous detail!" Chen Wenbin shook his head and refused, "Give me the experimental data tables, I want to see your work!"
Chen Wenbin was a clinical medical student and had also worked with his mentor. He had already learned how to boss students around by observation and experience. Moreover, Tom was not really his student.
This kid was originally an apprentice of another doctor, Dr. Salster, in Providence. A month ago, he heard that Dr. Chen's hospital was recruiting students, so he immediately switched jobs and ended up owing that doctor a lot of money... In Europe and North America, legitimate doctors are all contractual apprentices, and violating the apprenticeship contract requires paying compensation.
Chen Wenbin saw that he was clever and knew some herbal medicine, so he took him on and let him assist him in some drug experiments in the laboratory.
However, Chen Wenbin naturally took precautions against someone who could betray his teacher, and never revealed the truly valuable experiments and drug production processes.
"...About one to two milligrams per kilogram?"
After reviewing the data in the notebook, Chen Wenbin found that it was roughly the same as the actual lethal dose of colchicine... As for why it was in metric units, it was because Chen Wenbin found converting to imperial units troublesome and directly introduced the Chen's Scientific Measurement Standard within the Robin Science Academy.
He stroked his chin thoughtfully. It seemed that if he really wanted to use colchicine on gout patients, he would have to be more cautious. This stuff was not like aspirin.
Taking too much aspirin at most exacerbates gout and causes gastrointestinal discomfort, but it generally won't kill you. However, if you accidentally take too much colchicine, the patient will be poisoned and die!
Although colchicine is the only drug that can truly treat gout inflammation, and high-dose aspirin at most accelerates uric acid excretion, Chen Wenbin still chose the safer aspirin due to risk considerations.
Even if the treatment is slower, with morphine for pain relief and strict dietary control, it will still have a therapeutic effect. Moreover, extending the treatment period will help strengthen his status and authority as a miracle doctor, and increase the hospital's revenue.
Now that Robin City and the dock industrial zone are fully under construction, how can Doctor Chen build steel mills and shipyards if he doesn't collect more medical fees from these rich people?
Thinking about generating revenue, Chen Wenbin returned the notebook to Tom and asked about the most important research project in the lab at present.
"...What about the safety dosage test data for Mafi? This is crucial for the pharmacy's upcoming series of flagship products!"
"It's ready!"
Tom quickly took out an experimental record sheet from the drawer and handed it to Chen Wenbin, excitedly saying, "...For the past month, Edward and I have been observing the reactions of rabbits, dogs, and white pigs after they have eaten different doses of micranthe. We have roughly obtained a safe dose that will not be addictive, but we have not yet arranged for real humans to conduct experiments."
Because you previously told us that all drugs must be approved by you before volunteers can be recruited for drug trials.
After thinking for a few seconds, Chen Wenbin shook his head and said, "...There's no need to let anyone try it! Let's use the dosage I prescribed before as the safety standard!"
You and Edward have learned the Chen's dosage standards. The maximum dose of one oral morphine pill is 15 mg, and a single dose should not exceed this standard. The maximum daily oral dose is 40 mg, and the interval between each oral dose should be more than 12 hours...
Watching Tom diligently taking notes, Chen Wenbin couldn't help but feel a mix of emotions.
As a doctor, he knew that if the dosage of methcathinone was not controlled properly, it could easily become addictive, but at the same time, it was an essential painkiller in medicine.
If his Robin Pharmacy wants to really make big money, it must launch several effective blockbuster drugs. Aspirin and morphine, which can relieve pain, are the best choices at present.
Due to cost and target market differences, he planned completely different sales strategies for the two drugs. Aspirin's raw materials are easy to obtain, allowing for mass production and mid-range pricing. In contrast, methimazole, due to its high raw material costs, can only be marketed as a high-end product, targeting the upper class and wealthy individuals.
Of course, Chen Wenbin wasn't some kind of evil doctor. He would definitely limit the dosage of the Mafi series drugs he provided and remind doctors and patients to be aware of the risks of the drugs... Whether they were willing to listen or not was none of Dr. Chen's business.
In this world, he is only responsible to himself and those around him, and at most to his fellow Chinese in the Far East. Whether European nobles and North American rich people abuse drugs is not within his consideration.
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